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Gastrointestinal system malformations in children are associated with congenital heart defects [Anatol J Cardiol]
Anatol J Cardiol. 2011; 11(2): 146-149 | DOI: 10.5152/akd.2011.034  

Gastrointestinal system malformations in children are associated with congenital heart defects

Utku Arman Örün1, Meki Bilici2, Fulya G. Demirçeken3, Mahya Tosun3, Burhan Öcal3, Yusuf Hakan Çavuşoğlu4, Derya Erdoğan4, Filiz Şenocak3, Selmin Karademir3
1Dr. Sami Ulus Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Kardiyoloji Bölümü, Ankara
2Department of Pediatric Cardiology, Faculty of Medicine, Fatih University, Ankara, Turkey
3Clinic of Pediatric Cardiology, Dr Sami Ulus Children’s Hospital, Ankara
4Clinic of Pediatric Surgery, Dr Sami Ulus Children’s Hospital, Ankara

Objective: To determine the frequency of congenital heart defects (CHD) in children with gastrointestinal malformations (GISM) and mortality rates in patients with GISM. Methods: Two hundred and forty two consecutive children patients with GISM followed up in Pediatric Surgery Clinics of our hospital were examined for cardiovascular anomaly by the Department of Pediatric Cardiology, and the CHD incidence was investigated by examining the records of the patients retrospectively. Chi-square test was used for the statistical analysis of data. Results: Two hundred and forty two patients with gastrointestinal system malformations were included in the study. Of 242 patients, 135 (55.8%) were male and 107 (44.2%) were female, and their age range was 0-15 years. The most frequent GISM were anorectal malformations (43.2%), atresia involving stomach, ileum or colon (21%) and esophageal atresia/tracheoesophageal fistula (18.3%). Congenital heart defects were observed in 28.5% of the participants. The most frequent defects were as follows; atrial septal defect (31 patients, 44.9%) a, ventricular septal defect (17 patients, 24.6%) and patent ductus arteriosus (5 patients, 7.2%). There was no significant difference (p>0.05) in mortality rate in patients with CHD (16.7%) and without CHD (13.3%) undergoing operations for GISM. Conclusion: We would like to emphasize the importance of the earliest possible cardiological evaluation of all patients with gastrointestinal system malformations.

Keywords: Gastrointestinal system malformation, congenital heart defect, echocardiography, children, disease incidence


Utku Arman Örün, Meki Bilici, Fulya G. Demirçeken, Mahya Tosun, Burhan Öcal, Yusuf Hakan Çavuşoğlu, Derya Erdoğan, Filiz Şenocak, Selmin Karademir. Gastrointestinal system malformations in children are associated with congenital heart defects. Anatol J Cardiol. 2011; 11(2): 146-149


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